目的:探讨急性特发性视神经炎患者存在的精神心理问题。方法:收集中南大学湘雅医院眼科、神经内科2007-05/2009-10诊治的急性特发性视神经炎患者239例,采用90项症状自评量表(symptomchecklist90,SCL-90)对这些患者的心理健康状况进行调查分析。结果:急性特发性视神经炎患者239例的总症状指数为1.25±0.48,其中双眼患者的总症状指数高于单眼患者,最佳矫正视力<0.3者高于最佳矫正视力>0.3者。此组患者的阳性项目数为19项。9个分量表中,因子分高于正常值的有:人际关系敏感、抑郁、焦虑和敌对,以抑郁和焦虑最常见。结论:许多急性特发性视神经炎患者存在一定的精神心理问题,以抑郁和焦虑最常见。医护人员应重视对此类患者的心理干预治疗。

·AIM:To study the mental and psychological problems of patients with acute idiopathic optic neuritis.·METHODS:Totally 239 cases of patients with acute idiopathic optic neuritis diagnosed and treated in Department of Ophthalmology and Department of Neurology of Xiangya Hospital of Central South University from May 2007 to October 2009 were collected.The psychological health of these patients was investigated and analyzed through symptom check list 90(SCL-90).·RESULTS:Total symptom index of the 239 cases of patients with acute idiopathic optic neuritis was 1.25±0.48,wherein,the total symptom index of the patient with acute idiopathic optic neuritis in both eyes was higher than that of the patient with acute idiopathic optic neuritis in one eye;the patients with best-corrected visual acuity below 0.3 were more than the patients with best-corrected visual acuity above 0.3.The positive items of the patients in this group were 19.In 9 subscales,the factor scores of interpersonal sensitivity,depression,anxiety and hostility were higher than normal value,wherein,the most common problems were depression and anxiety.·CONCLUSION:Patients with acute idiopathic optic neuritis have certain mental and psychological problems,wherein,the most common problems are depression and anxiety.Medical staffs should pay attention to the psychological intervention treatment of these patients.·

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